Asthenia, fatigue, malnutrition due copper deficiency after Roux-en-Y gastric by-pass: Case report

Guilherme Araujo, Camila S Campos, Carolina L Dah Silva, Juliana C Machado, Julio S Marchini, Reginaldo Ceneviva, Jose Ernesto Dos Santos, Carla B Nonino-Borges


Obesity is a universal disease of growing prevalence which is reaching epidemic proportions, representing one of the main public health nutritional problems of modern society (WHO, 1998). Surgical treatment has undoubtedly proved to be efficient for weight loss due to food restriction associated with intestinal malabsorption. Weight loss is associated with the improvement of morbidities such as respiratory disorders, systemic arterial hypertension, diabetes mellitus, hypercholesterolaemia, and hypertriglyceridaemia, among others. Unfortunately it is also related to some nutritional deficiencies that may occur during the postoperative period due to inadequate feeding and malabsorption. We report a patient with grade III obesity who developed copper deficiency after Roux-en-Y gastric bypass (RYGBP).


obesity, gastric bypass, complications

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